IndividualActive
Bridgett Braxton
NPI 1255847778 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Jacksonville, FL
Provider details
- NPI number
- 1255847778
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
6124 Goodman Rd
Jacksonville, FL 32244-1933
Phone: (901) 338-9821
Approximate (ZIP-level) locationGet directions
Mailing address
6124 Goodman Rd
Jacksonville, FL 32244-1933
Registry dates
- Enumerated
- 2017-12-20
- Last updated
- 2017-12-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.